MEDICARE: JOAN M YELANJIAN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	2316123	WI

General Provider Information

NPI Number	:	1205988680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN M YELANJIAN LCSW

Provider Business Mailing Address
First Line	:	625 MICHIGAN AVE
Second Line	:
City	:	SOUTH MILWAUKEE
State	:	WI
Zip	:	53172-2724
Country	:	US
Telephone Number	:	414-762-7297
Fax Number	:

Provider Business Practice Location Address
First Line	:	5007 S HOWELL AVE STE 350
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-6159
Country	:	US
Telephone Number	:	262-999-3495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	03/25/2025

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